NPI | 1639356421 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENT JAMES DENLEY President 850-215-2344 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL os7753) |
Enumeration Date | 2008-01-24 |
Last Update Date | 2008-01-24 |